Individual provider Active NPI

Rita Joy Stucky, PH.D.

  • Psychologist
  • Lawrence, KS
National Provider Identifier
1811094485
Registry record updated Aug 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
647 Issued in KS
Practice address
1311 Wakarusa Dr
St. 2116
Lawrence, KS 66049-4798
Phone
(785) 841-4114
Fax
(785) 841-4114
NPI assigned
Sep 17, 2006
Last updated
Aug 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 647 KS Primary

Addresses

Primary practice location

1311 Wakarusa Dr
St. 2116
Lawrence, KS 66049-4798

Mailing address

1311 Wakarusa Dr
Ste 2116
Lawrence, KS 66049-4775
Phone (785) 841-4114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000316 KS Practitioner - Clinical Psychologist 9335102458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1311 Wakarusa Dr
Suite 2116
Lawrence, KS 66049-4775
Phone (785) 841-4114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
647KSMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rita Joy Stucky PHD., Inc. Psychologist CurrentSince Jul 1, 2003 Accepting new patients

Locations

1311 Wakarusa Dr
Ste 2116
Lawrence, KS 66049
Phone (785) 841-4114

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1811094485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR",
            "address_2": "STE 2116",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494775",
            "telephone_number": "785-841-4114",
            "fax_number": "785-841-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR",
            "address_2": "ST. 2116",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494798",
            "telephone_number": "785-841-4114",
            "fax_number": "785-841-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKY",
        "first_name": "RITA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.